Organization
MILWAUKEE CENTER FOR INDEPENDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW MAULE (DIRECTOR OF BUSINESS OPERATIONS)
(608) 692-9495
Entity
Organization
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2020
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41806600
—
WI
01
—
526525
PTIN
WI
Enumeration date
10/03/2006
Last updated
05/08/2024
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